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1دورية أكاديمية
المؤلفون: Thelma Brandão, Kátia Silveira da Silva, Enilce Fonseca de Oliveira Sally, Marcos Augusto Dias, Cláudia Valéria Cardim da Silva, Vânia Matos Fonseca
المصدر: Revista Brasileira de Ginecologia e Obstetrícia, Vol 33, Iss 8, Pp 188-195 (2011)
مصطلحات موضوعية: Estado nutricional, Infecção por HIV/epidemiologia, Gestação, Complicações infecciosas na gravidez/epidemiologia, Prevalência, Nutritional status, HIV infection/epidemiology, Pregnancy, Pregnancy complications infectious/epidemiology, Prevalence, Gynecology and obstetrics, RG1-991
الوصف: OBJETIVO: Caracterizar o perfil epidemiológico e nutricional de gestantes com o vírus da imunodeficiência humana (HIV) e os efeitos dessa infecção sobre o estado nutricional dessas mulheres durante a gravidez. MÉTODOS: Foi feito um estudo de coorte retrospectivo onde foram incluídas 121 gestantes com diagnóstico de infecção pelo HIV, gestação de feto único, que frequentaram pré-natal e fizeram o parto em uma unidade de referência para gestantes vivendo com HIV, no período de 1997 a 2007. Desfechos do estudo foram o estado nutricional inicial e final, avaliado pelo índice de massa corporal, o ganho ponderal, a anemia (hemoglobina PURPOSE: To describe the epidemiological profile and nutritional status of pregnant women infected with human immunodeficiency virus (HIV) and its effect on the nutritional status of these women during pregnancy. METHODS: A retrospective cohort study was conducted on 121 pregnant women with HIV infection, single fetus pregnancies, who received prenatal care and delivered at a referral unit for HIV-infected pregnant women during the period from 1997 to 2007. Outcomes of the study were the initial and final nutritional status as measured by body mass index, weight gain, anemia (hemoglobin
وصف الملف: electronic resource
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2دورية أكاديمية
المؤلفون: Hawkes Sarah, Miller Suellen, Reichenbach Laura, Nayyar Anjali, Buse Kent
المصدر: Bulletin of the World Health Organization, Vol 82, Iss 6, Pp 417-423 (2004)
مصطلحات موضوعية: Syphilis/diagnosis, Syphilis/epidemiology, Syphilis/economics, Pregnancy complications, Infectious/diagnosis, Pregnancy complications, Infectious/epidemiology, Prenatal diagnosis, Health policy, Mass screening/utlization, Decision making, Organizational, Focus groups/utlization, Data collection/methods, Process assessment (Health care)/methods, Delivery of health care, Socioeconomic factors, Public aspects of medicine, RA1-1270
الوصف: Antenatal syphilis control is an integral component of reproductive health policies in most countries. In many of these countries, however, the existence of a health policy does not automatically translate into an effective health programme. We argue that neglecting to take into account the perspectives of all stakeholders when planning programmes may be the reason that functional and sustained interventions for antenatal syphilis are lacking. Stakeholders may include health policy decision-makers, programme managers, service delivery personnel (on whom implementation depends), as well as the pregnant women, families, and communities who will most benefit from the intervention. We describe how to undertake a multilevel assessment in order to identify stakeholders, identify interlinked perspectives, and analyse these perspectives within the socioeconomic, cultural and political environment within which an intervention is designed to be delivered. Using this multidisciplinary approach, we propose that the barriers to, and opportunities for, turning health policy into effective practice will be identified, and the result will be the formulation of a broad programme response to ensure implementation of the policy. Undertaking a multilevel assessment is but the first step in identifying barriers to successful programmes. Currently there is a lack of strong political support for this intervention at national and international levels. Devising strategies to address these potential barriers requires a broad range of skills and approaches some of which are outlined in this paper.
وصف الملف: electronic resource
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